45D1103872 CLIA NUMBER - LUBBOCK VASCULAR ACCESS CENTER

Laboratory Demographics

CLIA Number: 45D1103872

Facility Name: LUBBOCK VASCULAR ACCESS CENTER

Facility Address:
1126 SLIDE ROAD, SUITE 1
LUBBOCK, TX
ZIP 79416
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Facility Phone Number: (806) 792-2222

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1669909404

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D1103872
LAB Type	PHYSICIAN OFFICE
Facility Name	LUBBOCK VASCULAR ACCESS CENTER
Street	1126 SLIDE ROAD, SUITE 1
City	LUBBOCK
State	TX
ZIP	79416
Phone	(806) 792-2222

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This page was last updated on: 5/11/2023